# GEM HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922007004
- **Authorized official:** MR. MAX LONG (CEO / ADMINISTRATOR)
- **Authorized official phone:** (208) 365-3561

## Contact information

- **Practice address:** 1024 E LOCUST ST, EMMETT, ID 83617-2776
- **Practice address phone:** (208) 365-3561
- **Practice address fax:** (208) 365-4176
- **Mailing address:** 1202 E LOCUST ST, EMMETT, ID 83617-2715
- **Mailing address phone:** (208) 365-3561
- **Mailing address fax:** (208) 365-4176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH130 | ID | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 08/22/2020